Le-Ben Wan MD PHD PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

261874 Issued in NY

Legal business name

LE-BEN WAN MD PHD PC

Practice address

4402 23Rd St Ste 504
Long Island City, NY 11101-5072

Phone

(929) 322-4236

NPI assigned

Aug 28, 2017

Last updated

Dec 24, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Le-Ben Wan, MDNPI 1356665954

Title

President

Phone

(929) 322-4236

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Le-Ben Wan, MD

  • Psychiatry Physician
  • Long Island City, NY
  • NPI 1356665954
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514073600000",
    "number": "1750808051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 23RD ST STE 504",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 23RD ST STE 504",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015072",
            "telephone_number": "929-322-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LE-BEN WAN MD PHD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-28",
        "last_updated": "2017-12-24",
        "status": "A",
        "authorized_official_last_name": "WAN",
        "authorized_official_first_name": "LE-BEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-322-4236",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "261874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Lawson, RN, BSN
• Maureen Layachi, LPN
• Marcelle Carol Layton, MD
• Steve Lazo
• Le Mental Health Counseling PLLC
• Jonathan A Le, BS
• Alexandra Paige Lebental, MD
• Natacha Miriam Lebrun, LPN
• Melissa Leclerc, OTR/L
• Vonetta Lecointe

• Psychiatry Physician in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.